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OWCP / DOL–enrolled medical practice · Las Vegas & North Las Vegas
NuTheraInjury Recovery & Wellness
Forms & Downloads

OWCP forms, explained.

The most common OWCP forms you'll encounter — with plain-language explanations of what each one does, when you'll need it, and who completes it.

Note: Official OWCP forms are published and maintained by the U.S. Department of Labor. Always verify you're using the current version on the DOL OWCP forms page. The guides below are NuThera's plain-language companions — not replacements for the official forms.

CA-1Official DOL form

Federal Employee's Notice of Traumatic Injury

File a CA-1 for a traumatic injury — an event, accident, or incident that occurred during a single workday.

When
Within 30 days of the injury. Sooner is better.
Who submits
The injured worker, through their agency and ECOMP.
NuThera role
Our providers complete the medical sections with the causation language OWCP requires.
Download guideOfficial DOL form
CA-2Official DOL form

Federal Employee's Notice of Occupational Disease

File a CA-2 for an occupational disease or illness that developed over time — repetitive strain, chronic conditions, exposure-related illness.

When
Within 3 years of when you became aware the condition was related to your federal employment.
Who submits
The injured worker, through their agency and ECOMP.
NuThera role
We document the clinical progression and work-related causation your claim will be judged on.
Download guideOfficial DOL form
CA-16Official DOL form

Authorization for Examination and/or Treatment

Authorizes initial medical evaluation and treatment for a work-related injury within the first 60 days of injury.

When
Issued by your employing agency within 4 hours of your injury request.
Who submits
Your supervisor or agency, provided to you to give to your doctor.
NuThera role
Bring your CA-16 to your first visit. Our team will treat and document according to OWCP standards.
Download guideOfficial DOL form
CA-17Official DOL form

Duty Status Report

Your treating physician's report on your ability to perform your regular duties. Critical for return-to-work planning.

When
At initial evaluation and at each significant change in work status.
Who submits
Completed by your treating provider, submitted to your agency.
NuThera role
Our providers complete CA-17s at each visit when work status changes.
Download guideOfficial DOL form
CA-20Official DOL form

Attending Physician's Report

The detailed medical report connecting your diagnosis to work-related causation. One of the most important documents in an OWCP claim.

When
After initial evaluation, and updated throughout treatment.
Who submits
Completed and submitted by your treating provider.
NuThera role
This is where proper causation narratives determine claim acceptance or denial. Our providers are trained in writing CA-20s that meet OWCP standards.
Download guideOfficial DOL form
Work StatusNuThera form

NuThera Work Status / Restrictions Form

Internal NuThera form documenting current work restrictions, duty status, and clinical reasoning for employer and agency use.

When
Provided at the end of each visit where restrictions are set or updated.
Who submits
Completed by your NuThera provider and given to you to share with your supervisor.
NuThera role
NuThera-branded form that covers both personal-injury and workers' compensation cases with clear restriction categories.
Download guide

Need help with a specific form?

Call NuThera. Our team completes OWCP medical documentation every day.

Request an Appointment(725) 726-7914